DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JERRY WAYNE CHILDRESS, DDS

Active

DR. JERRY WAYNE CHILDRESS, DDS is a General Dentistry healthcare provider located in CHARLOTTE, North Carolina. NPI 1528132859 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · CHARLOTTE, NC

Registration Details

NPI Number
1528132859
Provider Type
Individual
Gender
Male
NPI Issued
Nov 20, 2006 (19.744762560335 yrs)
Last Updated
Jul 8, 2007
License
3658 (NC)

Practice Information

Address
6708 REGAL OAKS DRIVE
REGAL OAKS DENTAL OFFICE
CHARLOTTE, NC, 28212
Browse NC providers · Browse ZIP 28212
Phone
7045360269
Fax
7045367520
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in CHARLOTTE, NC

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.